IndividualActive
Amanda Peterson, CNM, WHNP-BC
NPI 1396371100 · Advanced Practice Midwife · Fort Campbell, KY
Provider details
- NPI number
- 1396371100
- Entity type
- Individual
- Primary specialty
- Advanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CNM, WHNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 26738 (TN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
650 Joel Dr
Fort Campbell, KY 42223-5318
Phone: (270) 798-8148
Approximate (ZIP-level) locationGet directions
Mailing address
650 Joel Dr
Fort Campbell, KY 42223-5318
Registry dates
- Enumerated
- 2020-03-13
- Last updated
- 2026-03-30
- Certified
- 2026-03-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.